Fluid and electrolyte imbalance care plan

NURSING CARE PLAN Deficient Fluid Volume ASSESSMENT DATA NURSING DIAGNOSIS DESIRED OUTCOMES* Nursing Assessment Merlyn Chapman, a 27-year-old sales clerk, reports weakness, malaise, and flu-like symptoms for 3–4 days. Although thirsty, she is unable to tolerate fluids because of nausea and vomiting, and she has liquid stools 2–4 times per day.

Nursing Diagnosis: Risk for Disturbed Sensory Perception related to the electrolyte, glucose, or insulin imbalance secondary to hyperglycemia. Desired Outcome:This intervention aims to keep the usual degree of mentation. It also seeks to acknowledge and counteract pre-existing sensory deficiencies.Many adult hospital inpatients need intravenous (IV) fluid therapy to prevent or correct problems with their fluid and/or electrolyte status. Deciding on the optimal amount and composition of IV fluids to be administered and the best rate at which to give them can be a difficult and complex task, and decisions must be based on careful assessment of the patient's individual needs.The nursing care plan and management for clients with acute renal failure are to promote renal function, correct or eliminate any reversible causes of kidney failure, and provide supportive care. Specific interventions include monitoring and managing fluid and electrolyte imbalances, optimizing nutrition, and ensuring medication safety.Fluid resuscitation is crucial in the management of patients with DKA. IV fluids replace extravascular and intravascular fluids and electrolyte losses. High glucose levels and counterregulatory hormones become diluted. 0.9% normal saline is the IV fluid of choice. 2. Prevent cerebral edema.Nursing Diagnosis List three potential or actual nursing diagnoses for a client with fluid and electrolyte imbalances. a. Fluid volume deficit related to excessive output, less intake. b. Risk for ineffective tissue perfusion related to decreased blood flow. c. Risk for impaired skin integrity related to decreased skin turg or.Aforementioned will help the nurse to potentially pinpoint an cause of any imbalances or how condition allow put the patients most at risk of an electrolyte imbalance. 9. Assess pain plane. Electrolyte abnormalities can reason discomfort (i.e. muscles cramps/abdominal cramping). Nursing Involvements for Risk with Electrolyte Imbalance. 1.Fluid balance is a term used to describe the balance of the input and output of fluids in the body to allow metabolic processes to function correctly, around 52% of total body weight in women and 60% in men is fluid (Welch, 2011). The body is equipped with homeostatic mechanisms to keep the composition and volume of body fluids within narrow ...

Fluid and Electrolytes - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online.Aug 22, 2019 ... 16:27 · Go to channel · Electrolyte Imbalances (Na, Ca, K, Mg) - Medical-Surgical - Cardiovascular | @LevelUpRN. Level Up RN•190K views · 27:4...Infants have a greater % of fluid in the extracellular compartment compared to adults. What is Ricky's daily maintenance fluid requirement? 340. The nurse suspects that Rickey has an excess of fluid and that he may be experiencing water intoxication. What findings confirm this assessment? - specific gravity of 1.005.Study with Quizlet and memorize flashcards containing terms like A dialysis unit nurse caring for a client with renal failure will expect the client to exhibit which fluid and electrolyte imbalances?, A client loses consciousness after strenuous exercise and needs to be admitted to a health care facility. The client is diagnosed with dehydration. The nurse knows that the client needs ...Risk for Fluid and Electrolyte Imbalances Nursing Care Plan.docx - Free download as PDF File (.pdf), Text File (.txt) or read online for free. Scribd is the world's largest social reading and publishing site. ...An understanding of basic fluid and electrolyte physiology can aid clinicians in administering parenteral nutrition (PN). Disturbances in electrolytes, fluid, and acid-base balance require changes in therapy. Therefore, close monitoring of these parameters is essential during the administration of PN. Introduction Parenteral nutrition (PN) is a ...Risk for Imbalanced Fluid Volume: Susceptible to a decrease, increase, or rapid shift from one to the other of intravascular, interstitial, and/or intracellular fluid, which may compromise health. This refers to body fluid loss, gain, or both. Diarrhea Vomiting Excessive fluid volume Insufficient fluid volume: Risk for Electrolyte Imbalance

5. Fluid and electrolyte balance is essential for health. Many factors, such as illness, injury, medication, surgery and treatments, can disrupt the patient's fluid and electrolyte balance. Even a patient with a minor illness is at risk for fluid and electrolyte imbalance. The nurse continuously serves and evaluates patient's progress.4 days ago · This plan should include strategies for assessing and monitoring the patient’s mental status, providing a safe and supportive environment, managing any behavioral disturbances, and communicating with the patient’s healthcare team and family members. Use this nursing diagnosis guide to help you create an acute confusion nursing care plan. Study with Quizlet and memorize flashcards containing terms like A client is admitted to the unit with a diagnosis of intractable vomiting for 3 days. What acid-base imbalance related to the loss of stomach acid does the nurse observe on the arterial blood gas (ABG)? a. metabolic acidosis b. respiratory acidosis c. metabolic alkalosis d. respiratory alkalosis, Upon assessment of a client's ...A range of factors can compromise the kidneys' ability to perform their vital work. These include illnesses like diabetes or high blood pressure, inflammation and a range of inherited conditions. Deficiency or excess in key minerals like calcium and phosphorous, electrolyte imbalances like sodium and potassium, dehydration and fluid retention can all have their genesis in theLearn about the signs, symptoms, causes, and treatments of electrolyte imbalance, a common condition in hospitalized patients. Find 10 nursing care plans for different types of electrolyte imbalances, such as hypernatremia, hyponatremia, and acidosis.

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Abstract. Maintaining the balance of fluid and electrolytes is crucial to the care of patients across the continuum. To do this, a practitioner must be cognizant of key monitoring and assessment parameters. Key electrolytes, their function within the body, normal values, signs and symptoms of imbalances, key treatment modalities, and other ...Wrapping Up Electrolyte Imbalance Nursing Care Plans. Electrolytes execution vital body functions. An imbalance capacity cause systemic symptoms that require prompt assessment and treat. Nurses exist essential to the care, treatment, and decision of all types to electrolyte imbalances and must be skilled in the care.Nursing Care Plan for: Fluid Volume Excess, Fluid Overload, Congestive Heart Failure, Pulmonary Edema, Ascites, Edema, and Fluid and Electrolyte Imbalance. If you want to view a video tutorial on how to construct a care plan in …Assessment. Before the nurse can develop an effective nursing care plan for a patient with an acid base imbalance, a thorough assessment must be conducted to determine the type and severity of the imbalance. During assessment, the nurse should take into consideration any predisposing factors such as asthma attacks, chronic respiratory diseases ...Answer Key to Chapter 15 Learning Activities. Scenario A Answer Key: Interpret Mr. Smith's ABG result on admission. The pH is low indicating acidosis. The elevated PaCO2 indicates respiratory acidosis, and the normal HCO3 level indicates is it uncompensated respiratory acidosis. Explain the likely cause of the ABG results.

Learn further over the nursing diagnoses, progress monitoring, interventions, risk factors, complications, etc for Fluid and Ion Imbalance. This guide will meant to teach nursing students over fluid unbalanced.A nurse develops a plan of care for an older client who has a fluid overload. What interventions will the nurse include in this client’s care plan? ( Select all that apply.) a. Calculate pulse pressure with each blood pressure reading. b. Assess skin turgor using the back of the client’s hand. c. Assess for pitting edema in dependent body ...A fluid and electrolyte management plan developed by a multidisciplinary team is advantageous in promoting continuity of care and producing safe outcomes. Commonly Used Intravenous FluidsSymptoms of an imbalance include headaches, nausea, and fatigue. Electrolytes are minerals that the body needs to: balance water levels. move nutrients into cells. remove waste products. allow ...Fluid balance refers to the distribution of fluids in your blood, organs, and other tissues. Proper fluid balance: Keeps your blood flowing smoothly through your blood vessels. Keeps your brain floating in cerebrospinal fluid. Keeps your skin moist and supple. Helps you cool yourself with sweat.Electrolyte Imbalance Treatment. Treatment for an electrolyte imbalance can include: Intravenous fluids (IV fluids) Medications. For severe cases, your child's nephrologist may recommend hemodialysis. The pediatric nephrologists with Norton Children's Nephrology, affiliated with the UofL School of Medicine, have the expertise to treat ...Nursing care management of patients with pancreatitis includes relief of pain and discomfort caused by pancreatitis, improvement of nutritional status, improving respiratory function, and improvement of fluid and electrolyte status. Nursing Problem Priorities. The following are the nursing priorities for patients with pancreatitis:

0.45% sodium chloride A sodium level of 155 mEq/L is an indication of hypernatremia. The nurse should anticipate a prescription for a hypotonic solution. The 0.45% sodium chloride is a hypotonic solution used to provide free water and treat cellular dehydration, which promotes waste elimination by the kidneys.Dextrose 5% in 0.9% sodium chloride is a …

Collaborate with the interdisciplinary team in creating the plan of care. ... Patients with gastrointestinal bleeding can experience fluid and electrolyte imbalances leading to decreased cardiac output. Generally, an isotonic crystalloid solution like lactated Ringer's solution is often ordered. 5. Prepare and initiate blood transfusions as ...Fluid and electrolyte balance is necessary to maintain homeostasis. Intake must equal output to maintain fluid balance, and the body constantly strives for equilibrium. The kidneys, with the respiratory, endocrine, gastrointestinal (GI), and integumentary systems, regulate fluid and electrolyte balance. The total body water of a 70-kg man is ...Welcome to our Fluid and Electrolyte NCLEX Quiz. This specialized quiz is designed to assist nursing students and professionals in mastering the complexities of fluid and electrolyte management, a critical component of patient care and a significant section of the NCLEX examination. Our quiz offers a comprehensive review of fluid balance, electrolyte levels, and their implications for patient ...Aug 5, 2017 · Fluid and electrolyte imbalance. 1. 2. Fluid and electrolyte balance is a dynamic process that is crucial for life It plays an important role in homeostis Imbalance may result from many factors, and it is associated with the illness. 3. TOTAL BODY FLUID 60% OF BODY wt Intracellular fluids Extracellular fluids Interstitial Trancellular ... Which situation puts runners at a higher risk for fluid and electrolyte imbalances? A. The use of electrolyte replacement fluids during a race B. ... Skin turgor, blood pressure, and intake and output are assessments that would be included in the care of a client with fluid imbalances, but daily weight is the best indicator of changes in fluid ...Nursing care plans for hypervolemia and hypovolemia, risk for electrolyte imbalance, hypermagnesemia, hypocalcemia, hypokalemia, hypernatremia and more. 6262. 18 shares. Share. Here are ten (10) nursing care plans (NCP) for fluid and electrolyte imbalances, more specifically:Monitor for electrolyte imbalances. Electrolyte levels can change drastically with fluid volume loss, whether it be blood loss or losing volume due to vomiting and diarrhea. Decreased electrolyte levels can cause dysrhythmias, muscle spasms, and fatigue. Insert an indwelling urinary catheter for accurate measurements.Best Medicare Advantage Plan Companies 2024. ... Fluid and electrolyte imbalances can lead to health problems affecting various bodily functions. ... Urgent Care. Dr. David Casey is a family ...Factors Related to Electrolytes Body. Several factors can affect the occurrence of electrolyte imbalance. These inclusive: Sickness or diarrhea - may causing electrolyte gain; Clogging heart failure - your with CHF allowed have irregular potassium and soda levels; Diabetes - diabetic disease may have milk or magnesium imbalance; Hypertension - hypertensive patients may have calcium or ...

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The balancing act. Fluid and electrolyte balance play an important role in homeostasis, and critical care nurses assume a vital role in identifying and treating the physiologic stressors experienced by critically ill patients that disrupt homeostasis. 1. Electrolytes, found in body fluids, are electrically charged particles (ions).How fluid is gender, or is there a need to fulfill gender roles in society? Learn about the fluidity of gender in this article from HowStuffWorks. Advertisement When you walk throu...Starting a daycare business can be an exciting and rewarding venture. However, like any other business, it requires careful planning and preparation. One valuable tool that can ass...The onset of soft muscles can be a symptom of many possible diseases, as explained on Right Diagnosis from Healthgrades. It can also be an indicator of a more immediate problem, su...This is an accurate goal for the patient as the normal range for potassium is 3.5–5.0 mEq/L. The nurse is planning care for a patient whose nursing diagnosis is Decreased cardiac output related to electrolyte imbalance. The NOC for this nursing diagnosis is Cardiac pump effectiveness.Measure intake and output every 4 hours. b. Apply oxygen by mask or nasal cannula. c. Increase the IV flow rate to 250 mL/hr. d. Place the client in a high-Fowler's position. B. After teaching a client who is being treated for dehydration, a nurse assesses the client's understanding.Deficient fluid volume, or hypovolemia, results from a loss of body fluid or fluid shift, causing the fluid output to surpass fluid intake. In this process (acute or chronic), the body loses fluid volume and electrolytes. The source for this condition can be gastrointestinal, renal, or even metabolic.Apr 25, 2017 - Use this nursing diagnosis guide to develop your fluid volume deficit care plan with help on nursing interventions, symptoms, and more.Q: My son requires regular counseling from a psychologist to treat his attention-deficit/hyperactivity disorder. These are treated as medical specialty visits rather than general m...A nurse develops a plan of care for an older client who has a fluid overload. What interventions will the nurse include in this client’s care plan? ( Select all that apply.) a. Calculate pulse pressure with each blood pressure reading. b. Assess skin turgor using the back of the client’s hand. c. Assess for pitting edema in dependent body ... ….

Nursing Diagnosis for Diarrhea : Fluid and Electrolyte Imbalances related to excessive loss through feces and vomit and limited intake. Goal: fluid and electrolyte balance. Outcomes: Normal bowel movements (1-2 times daily). Mucosa of the mouth and lips moist. Client's condition improved. Not sunken eyes and fontanel. Good skin turgor (back in ...Pg2.Nursing Plan of Care | Fluid and Electrolyte Imbalances relevant data (subjective objective assessment) subjective: pt. feels cold, dizziness, fatigue, ... the pt. is dehydrated, which leads to fluid and electrolyte imbalances, as evidenced by the changes in electrolyte levels shown in his labs. Relevant Data (Subjective & Objective ...Dec 20, 2012 · Fluid and electrolyte balance is a key concept to understand for maintaining homeostasis, and for a successful treatment of many metabolic disorders. There are various regulating mechanisms for the equilibrium of electrolytes in organisms. Disorders of these mechanisms result in electrolyte imbalances that may be life-threatening clinical ... Starting a business is an exciting endeavor, but it requires careful planning and preparation. One of the most crucial steps in the process is creating a comprehensive business pla...Risk for electrolyte imbalance is single such nursing diagnosis, involving the exposure of having too much or too little of secure oxygen and/or natural in the Risk fork electrolyte disbalance is one how krankenpfleger diagnosis, involving the risk of having too much or also little starting determined total and/or minerals in oneFluid and electrolyte deficit: a deficit is the amount of water (and electrolytes) lost before rehydrating treatment is begun. For practical purposes, it is a one-time estimate . Ongoing losses represent the abnormal losses of fluid and electrolytes that occur after the one-time determination of a deficit. This essentially includes direct ...Hypokalemia and Hyperkalemia Nursing Care Plan 1. Nursing Diagnosis: Electrolyte Imbalance related to hypokalemia as evidenced , serum potassium level of 2.9 mmol/L, polyuria, increased thirst, weakness, tachycardia, and fatigue. Desired Outcome: Patient will be able to re-establish a normal electrolyte and fluid balance.Welcome to your NCLEX reviewer and practice questions for fluids and electrolytes.In this nursing test bank, test your competence on the concepts of homeostasis, fluids, and electrolytes.Fluid and electrolyte balance plays an important role in homeostasis, and critical care nurses assume a vital role in identifying and treating the physiologic stressors experienced by critically ill patients ...Overview of Nursing Care Plan (NCP) for Fluid Volume Deficit. Fluid Volume Deficit is a condition where your body doesn't have enough water and fluids. Imagine a car running low on oil; similarly, your body needs a certain amount of fluid to work properly. ... Electrolyte imbalances can lead to dysrhythmias elevated BUN, Creatinine, and urine ...The nursing care plan and management for clients with acute renal failure are to promote renal function, correct or eliminate any reversible causes of kidney failure, and provide supportive care. Specific interventions include monitoring and managing fluid and electrolyte imbalances, optimizing nutrition, and ensuring medication safety. Fluid and electrolyte imbalance care plan, There are five potential factors for the occurrence of electrolyte imbalance as; the causative disease process, endorgan injury, fluid and electrolyte interventions, use of medications with the ..., A nursing care plan for fluid and electrolyte imbalance enables nurses to formulate interventions to aid in restoring the body to a homeostatic balance. Assessment. Vital Signs: Vital signs are important indicators of fluid and …, The development of a plan for managing fluid and electrolyte abnormalities should start with correcting the underlying condition. In most cases, this is followed by an assessment of fluid balance with the goal of achieving euvolemia. After fluid status is understood and/or corrected, electrolyte imbalances are simplified., An 8 month old with a fever of 102.3 'F and diarrhea. B. A 55 year old diabetic with nausea and vomiting. C. A 5 year old with RSV. D. A healthy 87 year old with intermittent episodes of gout. 3. A patient is admitted to the ER with the following findings: heart rate of 110 (thready upon palpation), 80/62 blood pressue, 25 ml/hr urinary output ..., There are many nursing diagnoses applicable to fluid, electrolyte, and acid-base imbalances. Review a nursing care planning resource for current NANDA-I approved nursing diagnoses, related factors, and defining characteristics. See Table 15.6c for commonly used NANDA-I diagnoses associated with patients with fluid and electrolyte imbalances. [12], Nursing care management of patients with pancreatitis includes relief of pain and discomfort caused by pancreatitis, improvement of nutritional status, improving respiratory function, and improvement of fluid and electrolyte status. Nursing Problem Priorities. The following are the nursing priorities for patients with pancreatitis:, The nurse is developing a plan of care for a client with fluid and electrolyte losses related to nasogastric drainage. Which goals would be most appropriate to set for this client? Select all that apply. A. Intake and output will be balanced in 48 hours. B. Acid-base balance will be achieved in 48 hours. C. Nasogastric drainage will decrease in ..., Which intervention should be included in the plan of care ? Prepare the client for hemodialysis . Restrict the client's sodium in the diet . Change the IV fluid from 0.9 % NS to D5W . Monitor blood glucose levels . and more. ... NURS 3114 Fluid & Electrolyte Imbalances Exam 5. 74 terms. emilyproffitt. Preview. Peds 2023 Ch. 25 Cancer Evolve. 18 ..., The nursing care plan for clients with impaired tissue perfusion encompasses a thorough assessment of the client's condition, the formulation of realistic and ... Acidosis is the best indicator in early shock of ongoing oxygen imbalance at the tissue level. A blood gas with a pH of 7.30 to 7.35 is abnormal but tolerable in the acute setting ..., TACO is a complication of blood transfusion that is due to impaired cardiac function and/or an excessively rapid rate of transfusion. It occurs in one in 700 transfusion recipients and patients over 70 years of age, infants, and patients with severe euvolemic anemia (hemoglobin <50 g/L), renal impairment, fluid overload, and cardiac dysfunction ..., It can lead to electrolyte imbalances, impaired organ function, and compromised overall health. Assess for the signs and symptoms of deficient fluid volume: Skin integrity Decreased fluid volume results in dry skin and poor skin turgor. Tachycardia A compensatory increase in heart rate occurs with fluid volume deficit. 1.3. Hypotension, Updated on April 30, 2024. By Gil Wayne BSN, R.N. In this nursing care plan and management guide, learn how to provide care for patients with with impaired balance of gas exchange. Get to know the nursing assessment, interventions, goals, and nursing diagnosis specific to inadequate ventilation/perfusion by referring to this comprehensive guide., The nurse is providing care to a patient with electrolyte imbalance showing edema and shortness of breath. Which nursing diagnosis should the nurse include in the updated patient plan of care? Fluid volume excess related to electrolyte imbalances, as evidenced by edema and shortness of breath, FLUIDS AND ELECTROLYTES INTRODUCTION. Learning Objectives. Describe variables that influence fluid and electrolyte balance. Identify …, Signs & Symptoms Assessment Factors Influences Causes Treatments Complications Women Role Pflegen Care Plans Hypernatremia Hyponatremia Hypercalcemia Hypoca..., 2. Start fluid resuscitation. Administering intensive fluid therapy through an IV and correcting any electrolyte imbalances is crucial. It involves administering isotonic saline or lactated Ringer's solution to help restore the body's fluid balance. IV resuscitation may also be used to address other complications, such as dehydration or ..., Learn about the risk factors, signs, symptoms, and expected outcomes of electrolyte imbalance. Find nursing interventions and care plans for patients with hypernatremia, hyponatremia, and other electrolyte abnormalities., Nursing Care Plan #2 Diagnostic statement: Excess fluid volume related to low protein intake as evidenced by edema. Expected outcomes: Patient will be free of symptoms of malnutrition such as hypoglycemia, hypothermia, dehydration, electrolyte imbalance and micronutrient deficiencies., A. Administer anti hypertensive on schedule. B. Check the clients weight each morning. C. Notify the provider of a urine output greater than 30mL/hr. D. Encourage independent ambulation four times a day. B. Check the clients weight each morning. Serum sodium levels are between ____ and ______ mEq/L. 136-145., Electrolytes take on a positive or negative charge when they dissolve in your body fluid. This enables them to conduct electricity and move electrical charges or signals throughout your body ..., Hypermagnesemia and Hypomagnesemia Nursing Care Plan 1. Nursing Diagnosis: Electrolyte Imbalance related to hypomagnesemia as evidenced by serum calcium level of 0.80 mg/dL, fatigue, muscle weakness, and hyperactive deep tendon reflexes. Desired Outcome: Patient will be able to re-establish a normal electrolyte and fluid balance., NURSING CARE PLAN Deficient Fluid Volume ASSESSMENT DATA NURSING DIAGNOSIS DESIRED OUTCOMES* Nursing Assessment Merlyn Chapman, a 27-year-old sales clerk, reports weakness, malaise, and flu-like symptoms for 3–4 days. Although thirsty, she is unable to tolerate fluids because of nausea and vomiting, and she has …, Fluid balance is a term used to describe the balance of the input and output of fluids in the body to allow metabolic processes to function correctly, around 52% of total body weight in women and 60% in men is fluid (Welch, 2011). The body is equipped with homeostatic mechanisms to keep the composition and volume of body fluids within narrow ..., An electrolyte imbalance is caused when you lose a large amount of body fluids. For example, if you are sweating or vomiting too much, it can lower the levels of some electrolytes in the body. In ..., Fluid and Electrolyte Imbalance. 37 terms. VolticBat__ Preview. ATI cumulative exams. 48 terms. greatEmmajane20. ... Which components are appropriate to include in the nursing care plan? (Select all) a. ... The health care provider has ordered 5% dextrose in water as a maintenance fluid for the patient. The nurse is assessing the patient at the ..., The primary concern in metabolic acidosis is the disruption of the body’s acid-base balance. Nurses must assess the patient’s acid-base status through arterial blood gases (ABGs) and monitor pH levels to guide interventions. Administer intravenous fluids to restore electrolyte balance and normalize pH levels., Assessment and careful maintenance of fluid and electrolyte balance in patients is an essential part of the nurse's role. This article explores fluid and electrolyte balance with reference to the normal physiology of body fluids and regulation of fluids and electrolytes. It also considers some common conditions associated with fluid imbalance., Aug 5, 2017 · Fluid and electrolyte imbalance. 1. 2. Fluid and electrolyte balance is a dynamic process that is crucial for life It plays an important role in homeostis Imbalance may result from many factors, and it is associated with the illness. 3. TOTAL BODY FLUID 60% OF BODY wt Intracellular fluids Extracellular fluids Interstitial Trancellular ... , PedSA 2018 oo 2 • Fluids, Electrolytes, and utrition 9 Fluids and Electrolytes sensation of thirst is controlled by the activation of barore-ceptors, release of angiotensin II, increase in serum tonicity, and activation of osmoreceptors in the anterior hypothal-amus (Jain 2015). Output/excretion is the main regulator of water metabolism., Clients at risk for hypovolemia: Hypovolemia, or deficient fluid volume, occurs when there is a proportional loss of fluid and electrolytes from the extracellular fluid. This can be caused by: (1) insufficient intake of fluids (hiker), (2) excessive fluid loss (trauma, rupture, and vomiting), and (3) fluid shifts (burns)., NCP Fluid and Electrolyte Imbalances. Body fluid is composed primarily of water and electrolytes. The body is equipped with homeostatic mechanisms to keep the composition and volume of body fluids within narrow limits. Organs involved in this mechanism include the kidneys, lungs, heart, blood vessels, adrenal glands, parathyroid …, 43. Management Medical Management To decrease total body sodium and replace fluid loss either a hypo-osmolar electrolyte solution (0.2 % or 0.45 % NaCl) or D5w is administered. Hypernatremia caused by solution excess can be treated with D5w ad diuretic such as furosemide. Dietary Management Dietary restriction of sodium are …, There are many nursing diagnoses applicable to fluid, electrolyte, and acid-base imbalances. Review a nursing care planning resource for current NANDA-I approved nursing diagnoses, related factors, and defining characteristics. See Table 15.6c for commonly used NANDA-I diagnoses associated with patients with fluid and electrolyte imbalances. [12]